AJ is a 9-year-old with type 1 diabetes, A1c of 7.2%, uses an insulin pump and CGM. They ask you how to include a piece of birthday cake for an upcoming birthday celebration.
What is the best advice?
- Accept the cake but don’t actually eat it.
- Increase their daytime basal insulin to prevent hyperglycemia.
- Take additional bolus insulin to cover the extra carbs.
- Encourage AJ to eat a piece of fruit instead.
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